Impso ndi chimodzi mwa ziwalo zofunika kwambiri m'thupi lathu. Zili ngati fyuluta m'thupi lathu. Zimasefa zinyalala m'magazi ndikuzitulutsa ngati mkodzo. Koma nthawi zina, chifukwa cha zifukwa zosiyanasiyana, kugwira ntchito kwa impso ziwirizi kumatha kuchepa pang'onopang'ono kapena kuyimitsa kwathunthu. Izi timazitcha kuti vuto la impso. Zikachitika, timayenera kuchita dialysis kapena kupatsidwa impso. Chifukwa chake, lero tikambirana za kuyika impso uku ndi chiyani komanso zomwe muyenera kudziwa za izi.
Mwachidule, kodi kusintha impso n’chiyani?
Kuika impso ndi njira yochitira opaleshoni yomwe impso yathanzi imachotsedwa ndikuyikidwa m'thupi la munthu amene impso yake ikulephera kugwira ntchito. Impso yatsopanoyo imatenga ntchito yosefa zinyalala m'thupi. Zili ngati kuchotsa fyuluta yakale, yosweka ndikuyiyika yatsopano.
Tingapeze impso yathanzi yofunikira pa izi m'njira ziwiri zazikulu.
1. Kuchokera kwa wopereka wamoyo: Izi zikutanthauza kuti munthu wamoyo amene ali ndi impso zathanzi amapereka impso imodzi mwa izo mwaufulu.
2. Wopereka Womwalirayo: Izi zikutanthauza kulandira impso kuchokera kwa munthu amene ubongo wake wafa koma ziwalo zake zina zikugwirabe ntchito.
Tiyeni tiwone njira ziwirizi mwatsatanetsatane.
| Mtundu wa Wopereka | Kufotokozera |
|---|---|
| Wopereka Moyo | Apa, impso imapezeka kuchokera kwa munthu wamoyo. Munthu ameneyu nthawi zambiri amakhala wachibale wapafupi (amayi, abambo, abale), mkazi kapena mwamuna, kapena bwenzi lapamtima. Kusamutsa impso motere kumachitika bwino kwambiri . Chiwopsezo chokana impso ndi chochepa. Komabe, kupeza wopereka woyenerera ngati uyu n'kovuta pang'ono. |
| Wopereka Womwalirayo | Apa, impso imachokera kwa munthu womwalirayo. Anthuwa mwina adawonetsa kufunitsitsa kwawo kupereka ziwalo zawo akadali ndi moyo. Kapena, kupereka ziwalo kungachitike munthu akamwalira ndi chilolezo cha banja. Mtundu uwu wa kusamutsa ziwalo ndi wofala. |
Chofunika kwambiri ndikuwunika bwino ngati pali mgwirizano wabwino pakati pa munthu amene akupereka impso ndi munthu amene akulandira impsoyo. Mtundu wa magazi ndi mitundu ina ya minofu ndizofunikira kwambiri pa izi.
Ndani akufunika kuikidwa impso?
Kuika impso kumachitika makamaka kwa anthu omwe ali kumapeto kwa matenda a impso osatha . Izi zimatchedwa kulephera kwa impso kumapeto kwa gawo. Pa gawoli, impso zanu zimataya mphamvu zawo zosefera zinyalala.
Kawirikawiri, njira ziwiri zazikulu za wodwala ngati uyu ndi izi:
- Kuyeretsa magazi m'thupi: Kuyeretsa magazi a thupi pogwiritsa ntchito makina.
- Kubzala impso: Kubzala impso yathanzi.
Mwa awiriwa, kuyika impso ndi njira yabwino kwambiri kwa wodwala woyenerera, chifukwa kumamulola kukhala ndi moyo wabwino komanso wabwinobwino kuposa kukhala ndi dialysis yokha.
Kodi mungatani kuti muyenerere kuikidwa impso?
Chipatala chilichonse chingakhale ndi zofunikira zosiyanasiyana pa izi, koma kawirikawiri, ziyeneretso zotsatirazi ziyenera kukwaniritsidwa:
- Kukhala m'magawo omaliza a matenda a impso ndi kulandira chithandizo cha dialysis.
- Chiŵerengero cha kusefera kwa Glomerular (GFR) chosakwana 20 mL/mphindi.
- Kumvetsetsa bwino malangizo ndi mankhwala oti mutsatire mukatha opaleshoni.
- Khalani ndi thanzi labwino la thupi ndi maganizo kuti mupirire kuikidwa kwa chiberekero.
- Kukhala ndi chithandizo chabwino cha banja (chithandizo cha anthu) kuti chikusamalireni ndikukuthandizani.
Kodi opaleshoniyi imachitidwa bwanji?
Ngakhale anthu ambiri amaopa izi, opaleshoniyi tsopano ndi yopambana padziko lonse lapansi. Pa opaleshoniyi, madokotala amadula pang'ono m'mimba mwanu, kaya kumanja kapena kumanzere, ndikuyika impso yatsopano. Kenako amailumikiza ndi mitsempha yamagazi yapafupi. Chotsekera cha impso yatsopano chimalumikizidwa ndi chikhodzodzo chanu. Pamenepo ndi pomwe mkodzo wopangidwa ndi impso yatsopano umachoka m'thupi lanu.
"Ndiye kodi chidzachitike ndi impso zanga ziwiri zakale n'chiyani?"
Nthawi zambiri, impso zanu zakale, zomwe sizikugwira ntchito bwino sizichotsedwa opaleshoni. Zimasiyidwa m'thupi lanu. Komabe, kwa anthu omwe ali ndi matenda enaake, monga matenda a impso a polycystic, impso zakale zingafunike kuchotsedwa.
Opaleshoni imeneyi nthawi zambiri imatenga maola anayi mpaka asanu ndi limodzi .
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa masiku atatu. Panthawi imeneyo, madokotala ndi anamwino adzakusamalirani bwino.
Nthawi zina kusintha kwa impso kumayamba kugwira ntchito nthawi yomweyo . Koma nthawi zina zingatenge masiku kapena milungu ingapo kuti iyambe kugwira ntchito. Panthawi imeneyi, mungafunike kuchita dialysis kwakanthawi.
Chofunika kwambiri ndichakuti mukatha opaleshoni, mudzapatsidwa mankhwala apadera oti mumwe moyo wanu wonse. Mankhwalawa amatchedwa mankhwala oletsa chitetezo chamthupi .
Mankhwalawa amagwira ntchito pofooketsa chitetezo cha mthupi lanu pang'ono. Kupanda kutero, thupi lanu lidzazindikira impso yatsopanoyo ngati "yachilendo" ndikuyesera kuikana . Mankhwalawa amaletsa zimenezo kuchitika. Choncho ndikofunikira kwambiri kumwa mankhwala awa monga momwe dokotala wanu wanenera, osaphonya tsiku limodzi.
Kodi moyo uli bwanji pambuyo pa opaleshoni?
Kusamutsa impso bwino kuli ngati mwayi wachiwiri wa moyo. Mudzayamba kumva mphamvu komanso mphamvu kuposa kale. Mudzakhala opanda moyo womwe unali wochepa chifukwa cha dialysis. Mudzakhala omasuka kudya ndi kumwa chilichonse chomwe mukufuna (ndithudi, pali zoletsa zina). Mavuto monga kuchepa kwa magazi m'thupi omwe amabwera ndi matenda a impso nawonso adzathetsedwa kwambiri.
Zinthu zofunika kuziganizira mukamachira
Nthawi yochira nthawi zambiri imatenga pafupifupi milungu isanu ndi umodzi . Panthawiyi, samalirani zinthu izi.
- Musanyamule zinthu zolemera: Pewani kunyamula zinthu zolemera kwa miyezi iwiri kapena kuposerapo.
- Kuyendetsa Galimoto: Musayendetse galimoto kwa milungu pafupifupi isanu ndi umodzi.
- Imwani madzi ambiri: Kumwa pafupifupi malita awiri a madzi patsiku ndikwabwino kwambiri pa thanzi la impso yatsopano.
- Pewani kudya zakudya zosaphika: Popeza chitetezo cha mthupi lanu ndi chofooka, kudya zinthu monga nyama yosaphika, nsomba zosaphika, masaladi osaphika, ndi mazira osaphika bwino kumawonjezera chiopsezo chanu chodwala.
- Musadye zinthu izi:
- Chipatso cha Mphesa: Madzi a mphesa ndi madzi a mphesa amatha kusokonezana ndi mankhwala a chitetezo chamthupi chanu, choncho pewani mankhwalawa kotheratu.
- Mankhwala Ochepetsa Ululu (NSAIDs): Mankhwala ena ochepetsa ululu omwe mungagule ku pharmacy, monga Ibuprofen ndi Naproxen, akhoza kuvulaza impso zanu. Musamwe mankhwala aliwonse popanda kufunsa dokotala pazifukwa zilizonse.
- Mavitamini ena ndi zowonjezera zitsamba: Izi zingagwirizanenso ndi mankhwala anu, choncho onetsetsani kuti mwalankhula ndi dokotala wanu musanagwiritse ntchito zowonjezera zilizonse.
Kodi muyenera kukaonana ndi dokotala liti?
Mudzapita kuchipatala nthawi zonse. Komabe, ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) ya chipatalacho.
- Malungo a madigiri 37 Celsius (100 Fahrenheit) kapena kupitirira apo.
- Kupweteka kapena kupweteka kwatsopano pamalo pomwe impso yopatulidwayo ili.
- Kutupa kwa thupi (edema).
- Zizindikiro zofanana ndi chimfine ( kuzizira , kupweteka kwa thupi, mutu, nseru).
- Ngati kuchuluka kwa mkodzo womwe mumatulutsa mwadzidzidzi kumachepa.
- Ngati mukukumana ndi zizindikiro zachilendo kapena zachilendo.
Uthenga Wopita Nawo Kunyumba
- Kusamutsa impso ndi njira yabwino kwambiri yochiritsira anthu omwe ali ndi matenda a impso osatha.
- Kupambana kwa kusamutsa impso kuchokera kwa munthu wamoyo n'kwapamwamba kwambiri.
- Pambuyo pa opaleshoni, ndikofunikira kumwa mankhwala (immunosuppressants) omwe amaperekedwa kuti aletse thupi kukana impso yatsopanoyo kwa moyo wanu wonse.
- Pamene mukuchira, tsatirani malangizo a dokotala wanu mosamala, makamaka pankhani ya zakudya ndi kunyamula zolemera.
- Ngati mukuona zizindikiro monga malungo, kupweteka pamalo omwe mwabayira jakisoni, kapena kutupa, funsani upangiri wa dokotala nthawi yomweyo.
- Kusamutsa impso kumakupatsani mwayi wokhala ndi moyo wodziyimira pawokha komanso wabwino, wopanda dialysis.
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